<%@ include file="/WEB-INF/view/include.jsp"%>
<div id="MainDetails">	
	<div class="t_form-top">
		<div class="t_select_employee">
			<label for="evrEmployeeId" ><spring:message code="message.employee.id" /></label>
			<input type="text"  id="evrEmployeeId" disabled="disabled" name="evrEmployeeId" value="${evRenewalModel.evrEmployeeId}"	readonly="readonly" />
		</div>
	</div>
	<div class="t_form-left">
		<label for="empName"><spring:message code="ctn.employee.name" /></label>
		<input type="text" id="empName" name="empName" disabled="disabled" />
		
		<label for="empPostNoMap"><spring:message code="ctn.employee.post.no" /></label>
		<input type="text" id="empPostNoMap" name="empPostNoMap" disabled="disabled" />
	</div>
	
	<div class="t_form-right">
		<label for="empNationalityMap"><spring:message code="ctn.employee.nationality" /></label>
		<input type="text" id="empNationalityMap" name="empNationalityMap" disabled="disabled" />
		
		<label for="empCECNoMap"><spring:message code="ctn.employee.cec.no" /></label>
		<input type="text" id="empCECNoMap" name="empCECNoMap" disabled="disabled" />
	</div>
	<fieldset>
	 	<legend><spring:message code="ctn.ev.renewal.init.trans" /></legend>
	</fieldset>
	<div class="t_form-left">
		<form:label path="evrRenewalType"><spring:message code="ctn.ev.renewal.ren.type" /></form:label>
		<form:input path="evrRenewalType" id="evrRenewalType" disabled="true" />
	</div>
	<div class="t_form-right">
		<form:label path="evrMedLetterSubmission"><spring:message code="ctn.ev.renewal.med.let.subm.method" /></form:label>
		<form:select path="evrMedLetterSubmission" id="evrMedLetterSubmission" disabled="true" style="width:150px;">
			<form:option value=""></form:option>
			<form:option value="Online"><spring:message code="ctn.online" /></form:option>
			<form:option value="Offline"><spring:message code="ctn.offline" /></form:option>
		</form:select>
	</div>
	
	<div id="fm-submit">
		<button  class="button_small" id="Main-Next"  ><spring:message code="button.next" /></button>
	</div>
</div>